Dressing after stroke

Walker, Marion Fraser (1991) Dressing after stroke. MPhil thesis, University of Nottingham.

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Abstract

The literature available indicates that dressing difficulties after stroke are common and persistent. Previous studies have documented dressing ability but none have investigated each individual component of the dressing process using a detailed dressing assessment suitable for stroke patients.

The aims of this study were: to develop a dressing assessment (Nottingham Stroke Dressing Assessment) breaking dressing down into its component parts; to identify dressing problems; and to investigate the relationship between dressing ability and physical, perceptual and cognitive disabilities due to stroke.

A series of 60 male and female stroke patients were assessed on their dressing abilities using the Nottingham Stroke Dressing Assessment on four occasions over their first 14 days after admission to the Nottingham Stroke Unit. During this time patients were also assessed on the Rivermead ADL scale, Rivermead Motor Function and other physical, perceptual and cognitive assessments. The frequency of problems in dressing were determined. The most difficult problems were pulling up trousers, putting shoe on affected foot and pulling up pants. The relation between dressing score and all other assessments was determined using a Spearman's Rank Correlation Coefficient. There were statistically significant correlations between dressing and activities of daily living, gross motor function, leg and arm function, perception, sensation, language, hand-eye coordination and intelligence. No significant relation was found with apraxia, memory, premorbid IQ or reasoning ability. These results suggest that motor recovery and perceptual abilities are important determinants of dressing ability as has been suggested by previous studies.

NB: This ethesis has been created by scanning the typescript original and contains some inaccuracies. In case of difficulty, please refer to the original text.

Item Type:Thesis (MPhil)
Supervisors:Lincoln, N.B.
Uncontrolled Keywords:Stroke, Cerebrovascular disorders, Rehabilitation
Faculties/Schools:UK Campuses > Faculty of Medicine and Health Sciences > School of Clinical Sciences > Former School of Medical and Surgical Sciences
ID Code:357
Deposited By:Business Library
Deposited On:26 Oct 2007
Last Modified:24 Mar 2009 12:43

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